MEDICARE: DR. KENNETH A ZAREMSKI D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	2019036151	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	201270059	OTHER	MI	TAX ID

General Provider Information

NPI Number	:	1457440513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH A ZAREMSKI D.O.

Provider Business Mailing Address
First Line	:	2402 NE 65TH TER
Second Line	:
City	:	GLADSTONE
State	:	MO
Zip	:	64118-3756
Country	:	US
Telephone Number	:	920-595-0182
Fax Number	:

Provider Business Practice Location Address
First Line	:	2340 E MEYER BLVD STE 200
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64132-1121
Country	:	US
Telephone Number	:	816-753-5144
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	02/05/2020

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Directions to “ DR. KENNETH A ZAREMSKI D.O.” Practice Location

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